Mariam A Ameer, Ammar M Al Abbad, Saja N Alrashedi, Abeer M Alruwaili, Meyool M Alruwaili, Asma H Alsrhany, Soha K Alruwaili, Shmookh M Alserhani, Najd F Alshammari, Abeer F Hanafy
{"title":"The effect of heel elevation on rectus femoris and thoracolumbar extensor EMG activity during deep squatting-standing movement.","authors":"Mariam A Ameer, Ammar M Al Abbad, Saja N Alrashedi, Abeer M Alruwaili, Meyool M Alruwaili, Asma H Alsrhany, Soha K Alruwaili, Shmookh M Alserhani, Najd F Alshammari, Abeer F Hanafy","doi":"10.1177/10538127251387829","DOIUrl":null,"url":null,"abstract":"<p><p>BackgroundDeep squatting-standing movement is a multi-joint movement used to develop neuromuscular control and strength in different rehabilitation settings. The elevated heel during deep squatting-standing movement showed little literature on studying its effect on the back and lower extremity muscles.ObjectivesThe current study investigated the impact of the elevated heel during deep squatting-standing movement on the electromyography activities of the selected rectus femoris and thoracolumbar extensor muscles.Materials and MethodsA quasi-experimental study with one group was conducted on two separate occasions (feet flat on the ground and with heel elevation using a 7 cm wedge) with twenty young active Saudi female university students (Age = 20.72 ± 1.34 years, BMI = 21.48 ± 2.29 kg/cm<sup>2</sup>). The electromyography (EMG) activity of the rectus femoris and thoracolumbar muscles was measured using the Delsys Trigno<sup>TM</sup> wireless EMG System (Delsys Inc., USA) during deep squatting to standing movements.ResultsDuring deep squatting with heel elevation, rectus femoris showed a statistically significant increase in EMG activity compared to foot flat in the ground (<i>p</i>-value < 0.05). Conversely, thoracolumbar extensors showed a statistically significant decrease in EMG activity compared to the foot flat in the ground without statistically significant changes in EMG activity between right and left thoracolumbar extensors (p-value > 0.05).ConclusionThese findings suggest that elevated heel during deep squatting-standing movement enhances the rectus femoris muscle activity and lower back safety.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"638-648"},"PeriodicalIF":1.4000,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Back and Musculoskeletal Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/10538127251387829","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/27 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
BackgroundDeep squatting-standing movement is a multi-joint movement used to develop neuromuscular control and strength in different rehabilitation settings. The elevated heel during deep squatting-standing movement showed little literature on studying its effect on the back and lower extremity muscles.ObjectivesThe current study investigated the impact of the elevated heel during deep squatting-standing movement on the electromyography activities of the selected rectus femoris and thoracolumbar extensor muscles.Materials and MethodsA quasi-experimental study with one group was conducted on two separate occasions (feet flat on the ground and with heel elevation using a 7 cm wedge) with twenty young active Saudi female university students (Age = 20.72 ± 1.34 years, BMI = 21.48 ± 2.29 kg/cm2). The electromyography (EMG) activity of the rectus femoris and thoracolumbar muscles was measured using the Delsys TrignoTM wireless EMG System (Delsys Inc., USA) during deep squatting to standing movements.ResultsDuring deep squatting with heel elevation, rectus femoris showed a statistically significant increase in EMG activity compared to foot flat in the ground (p-value < 0.05). Conversely, thoracolumbar extensors showed a statistically significant decrease in EMG activity compared to the foot flat in the ground without statistically significant changes in EMG activity between right and left thoracolumbar extensors (p-value > 0.05).ConclusionThese findings suggest that elevated heel during deep squatting-standing movement enhances the rectus femoris muscle activity and lower back safety.
期刊介绍:
The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty.
In each issue clinicians can find information which they can use in their patient setting the very next day.